Remote Behavioral Health Utilization Nurse Consultant
CVS Health Corporation
- Remote job
CVS Health is seeking an experienced Utilization Management Nurse Consultant - Behavioral Health for a fully remote role. The position requires an active RN license and 3+ years in acute behavioral health or substance abuse nursing, with 1+ year in concurrent review or prior authorization. A 3-week training with full participation is mandatory. The role involves applying evidence-based criteria, coordinating with providers, authorizing care, and documenting thoroughly. #J-18808-Ljbffr CVS Health Corporation
$71.03k
AHCCCS Arizona Health Care Cost Containment System... ...environments, including remote work opportunities.... ...dynamic and dedicated team. Behavioral Health Prior Authorization Utilization Review Consultant Division of Fee for... ...appropriate action; nursing assessment Public relations...Remote workFull timePart timeInternshipWork from homeFlexible hours$78.4k - $107.8k
...Become a part of our caring community The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the... ...technical skills to troubleshoot and resolve within a remote environment. ~ Ability to work independently. Preferred...Remote workFull timeTemporary workApprenticeshipWork from homeHome officeMonday to Friday- American Health Holding, Inc. (an division of CVS Health) is seeking a Utilization Management Nurse Consultant specializing in Medical Review. This fully remote role emphasizes precise clinical review, collaboration with providers, and compassionate patient care in a fast...Remote job
- CVS Health is seeking a licensed Registered Nurse for a remote, full-time Utilization Management role focused on weekend coverage. The position supports Saturday and Sunday shifts, with schedules including four 10-hour shifts or other approved configurations. You will assess...Remote jobFull timeShift workWeekend work
$60.53k - $129.63k
...’re building a world of health around every individual... ...Position Summary Join our Utilization Management team as a Nurse Consultant, where you'll apply... ...information from providers. Remote Work Expectations... ...required. ~3+ years of acute behavioral health and/or substance...Remote workHourly payFull timeTemporary workWork experience placementLocal areaMonday to FridayFlexible hoursShift workWeekend work$66.58k - $142.58k
Appeals Nurse Consultant (Remote)### Appeals Nurse Consultant (Remote)Apply:... ...We’re building a world of health around every individual —... ...expedited), MPO, Coding, or Behavioral Health appeals.* This is a... ...Appeals, Managed Care, or Utilization Review experience.* Proficiency...Remote workHourly payFull timeTemporary workLocal areaWork from homeMonday to FridayShift work$66.58k - $142.58k
...Appeals Nurse ConsultantWe're building a world of health around every individual — shaping... ...dedicated Appeals Nurse Consultant to join our remote team. In this role,... ...expedited), MPO, Coding, or Behavioral Health appeals.This... ..., Managed Care, or Utilization Review experience....Remote workFull timeLocal areaMonday to FridayShift work- ...Dickinson (US) LLP seeks a Nurse Consultant to join our team. The Nurse... ...outcomes. This role is performed utilizing firm-approved technology... ...position has been approved for remote work. Responsibilities... ...decisions through consistent behavior and written and verbal communications...Remote workWork at office
- ...Experience in both medical and behavioral health and/or substance use disorder... ...Paid Holidays Work-life balance Remote setting ROLE DESCRIPTION This individual will utilize clinical knowledge and... ...criteria sets and acceptable nursing practice guidelines for outpatient...Remote workTemporary workWork at officeMonday to FridayFlexible hours
- ...Overview The Behavioral Health (BH) Patient Support Specialist reports to Behavioral Health... ...communicating with the Behavioral Health nursing team for medication or clinical... ...ensure accuracy and support appointment utilization Coordinate with providers, nursing,...Remote workFull timeSeasonal work
$85k - $93k
Overview: RN Pysch / Registered Nurse, Home Health Location: Watkinsville... ...Health Position Type: Full Time Remote/Virtual Position: NO... ...care under physician's orders utilizing nursing theory, skills and... ...Intermediary, the resume of the Behavioral Health/Psychiatric Home...Remote workFull timeFlexible hours$37.2 - $50.4 per hour
...Utilization Management Nurse Work from home within Oregon, Washington... ...sustainable health care system. Who... ...discipline (e.g. medical vs. behavioral health) and at least... ...determinations and consults with physician... ...organizations. #LI-Remote Pay ranges vary based...Remote workFull timeWork at officeImmediate startWork from homeFlexible hours- ...Position: Remote Nurse Consultant Company Overview: Absolute Elder Care is a leading provider of in... ...guidance and support in managing their health care needs. This is a full-time, remote... ...to continuously improve our services Utilize telehealth technology to conduct virtual...Remote workFull timeMonday to FridayFlexible hours
- ...MDS Consultant/ Nurse Consultant JOB DESCRIPTION Summary/Objective... ...on MDS coordination, interim remote MDS coverage, and training MDS... ...teams to expand service utilization and support client retention... ...Proficiency with electronic health records, MDS software, Microsoft...Remote workFull timeInterim roleWork at officeNight shift
$2,320.48 per week
...Behavioral Health Registered Nurse in Columbus, OH LeaderStat is currently seeking a Behavioral Health Registered Nurse for a... ...James Cancer Hospital for $2403.64 gross weekly Utilization Review Nurse – RN or LVN - Full Remote MICU - Registered Nurse - $2,044 per week Registered...Remote workWeekly payFull timeContract workRelocation packageShift workDay shift- ...Behavioral Health Nurse With energy and purpose, Cooley Dickinson Health Care, a member of the Mass... ...a safe milieu and determining how to utilize the milieu to meet patient's needs.... ...Additional Job Details (if applicable): Remote Type: Onsite Work Location: 30...Remote workWork from homeShift workAfternoon shift
$36.74 - $62.05 per hour
...Registered Nurse- Behavioral HealthJob Code: RN1527Full-timeNights 7pm-7am... ...candidatesAt UVA Community Health, part of the world-class UVA... ...health. The Registered Nurse utilizes best scientific evidence and... ...travel between campus buildings, remote facilities, and out of town...Remote workHourly payWork experience placementWork at officeLocal areaRelocation packageShift work- ...To support patient access and care coordination, the full-time remote Behavioral Health Patient Support Specialist will manage inbound and outbound communications, schedule appointments, assist with online check-ins, and verify insurance information while ensuring a positive...Remote workFull time
$66.58k - $142.58k
...We’re building a world of health around every individual — shaping... ...a time. Position Summary Utilization Management is a 24/7... ...Services and benefit utilization Consults and lends expertise to other... ...of experience as a Registered Nurse in adult acute care/critical...Hourly payFull timeTemporary workWork at officeLocal areaWork from homeShift workAfternoon shift$75k - $90k
...0.00 Annually This is a remote position based in Salem, Oregon... ...about improving access to behavioral health services in the community?... ...evidence-based criteria to utilization management reviews;... ...engaged in health care quality consulting and quality improvement services...Remote workFull timeContract workWork from home$36 per hour
...Hospital is hiring a Registered nurse for Full Time, Night shift... .... About the unit: The Behavioral Health Unit (BHU) at Sentara... ...quality, evaluation, resource utilization, and environmental health) encompass... ...that are available as remote work, Sentara Health...Remote workHourly payFull timeTemporary workRelocation packageShift workNight shift$36.74 - $62.05 per hour
...Job Description Registered Nurse- Behavioral Health Job Code: RN1527 ABOUT US Full-time... ...optimal health. The Registered Nurse utilizes best scientific evidence and compassion... ...to travel between campus buildings, remote facilities, and out of town as needed:...Remote workHourly payFull timeWork experience placementWork at officeLocal areaRelocation packageShift workNight shift- ...powerful: to enhance the health and well-being of every person... ...As an on-site Hospital Utilization Management (UM) Nurse, you are the primary link... ...administrative compliance. Unlike remote roles, this position... ...Collaborationo Physician Consultation: Meet in person with attending...Remote workFull timeImmediate startShift work
$36.74 - $62.05 per hour
Registered Nurse- Behavioral HealthJob Code: RN1527ABOUT US Full-time... ...healthcare where achieving good health is just the beginning. At UVA... .... The Registered Nurse utilizes best scientific evidence and... ...travel between campus buildings, remote facilities, and out of town...Remote workHourly payFull timeWork experience placementWork at officeLocal areaRelocation packageShift workNight shift- ...County of San Juan is seeking a Licensed Behavioral Health Utilization Management Professional 2 to support coordination, documentation, and determinations... ...for medical services and benefits. This is a fully remote position within the United States. The role requires...Remote work
$82.68k - $96.46k
...The Clinical Guide Part A will be part of the Utilization Management team, responsible for inpatient, behavioral health, and/or post-acute authorization review in alignment... .... Schedule: This is a full-time, remote position working five 8-hour days. We are...Remote workFull timeContract workInternshipMonday to Friday- ...Cambia Health Solutions, Inc. is seeking an Utilization Management Nurse to perform prospective, concurrent, and retrospective reviews for member care across multiple states. The role emphasizes applying clinical criteria, ensuring medical necessity, and coordinating...Remote workWork from home
- ...Centene is seeking a remote Utilization Review Clinician – Behavioral Health to support inpatient and outpatient BH Medicare plans. You will perform medical necessity reviews and authorization determinations to ensure members receive appropriate, high-quality BH services...Remote work
- ...Centene Management Company LLC in Texas seeks a experienced Behavioral Health Utilization Reviewer to evaluate and authorize mental health and substance abuse care. The role requires compliance with regulatory guidance and collaboration with BH teams to ensure appropriate...Remote work
$60.52k - $129.62k
...Specialist We're building a world of health around every individual — shaping a more... ...publications, and/or facilitating research utilization to improve clinical care and outcomes.... ...technical writing skills ~ Registered Nurse (RN) required. Adept at problem solving...Remote workHourly payFull timeTemporary workWork experience placementMonday to Friday
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